Reference:
C.Chi.16, S.U.44, A.H.Ni.13, S.U.44, M.Ni.8
Nirukti:
Kaamalaa S`habdo Ayam Saadhaaran`o S`habdah; Vis`heshaat Svalpe Bhaktaadi Abhilaashe Pravartate, Tam Laati iti Kaamalaa | S.U.44 Haaraan`achandra
Svaroopa:
Kaamalaa is a next stage of Paan`d`u Roga. It may also occur without manifestation of Paan`d`u Roga in a person who is having Pitta dominance. Sclera, nails, skin and face turn to the colour of turmeric (Haridraa).
The stools and urine change to reddish yellow colour. The skin complexion resembles to the skin of frog.
The perceptive ability of the sense organs gets diminished with symptoms like Daaha (burning sensation), Avipaaka (indigestion), Daurbalya (debility), and Aruchi (anorexia).
It is generally said that S`haakhaas ‘hrita Bahupittaa Kaamalaa is manifested after Kaamalaa while S`haakhaas `hrita Alpapittaa Kaamalaa manifests without prerequisite of Kaamalaa.
Sampraapti:
Paan`d`u Rogee (a person suffering from Paan`d`u), indulges in Pitta aggravating factors such as sour food, alcohol, unwholesome diet. This aggravates Pitta and causes destruction of Rakta and Maamsa Dhaatu. Due to this Kaamalaa manifests.
Kosht`has`haakhaas`hrita Kaamalaa (Bahupitaa Kaamalaa)
- Kumbha Kaamalaa
- Nirukti
Kumbhah Kosht`hah, Antah Sus`hira Saadharmyaat, Tadgataa Kaamalaa Kumbha Kaamalaa; Kosht`haas`hrayaa Iti Arthah | M.Ni.8/18Kumbha Kaamalaa Iti Avasthaabhedena Kosht`hagata Kaamalaayaah Sandnyaa,Kumbhah Kosht`hah, Tadaas`hrayaa Kaamalaa Kumbha Kaamalaa | C.Chi.16/34-38Kaamalaa which is harboured in Kumbha I.e. Kosht`ha is said to be Kumbha Kaamalaa.
- Sampraapti and Lakshan`a:
Kaamalaa if untreated leads to the oedema all over the body or with due course of time, Kaamalaa itself becomes more chronic and there is aggravation of Khara Gun`a (roughness) in the body.
There is oedema all over the body with redness in the eyes, face. Blood passes through the stools, urine and vomiting. The colour of stools and urine turns to blackish yellow.
A patient feels as if he is entering into the darkness. Digestive capacity is totally lost.
There is pricking pain in the interphalengeal joints (Parva Bheda). At the end patient dies.
This is termed as Kumbha Kaamalaa. It is very difficult to cure.
According to Sus`hruta Kumbhaahva is the state of Paan`d`uroga in which a lot of oedema (starting from face) and pain in finger joint is present.
- Laagharaka (Alasaka)Kumbha Kaamalaa itself associated with Jvara, Angamarda, Bhrama, Saada Tandraa and the patient is emaciated, is called as Laagharaka (Alasaakhya). D`alhan`a quotes another opinion that Paanakee as Avasthaa of Laagharaka.
- Haleemaka / Lod`haraIn Kumbha Kaamalaa or in Paan`d`u, when skin colour changes to greenish yellow, dark brown (S`hyaava) it is Haleemaka. This pathogenesis happens due to Vaayu and Pitta. According to Vaagbhat`a Haleemaka, Lod`hara and Alasa are considered as same.
- Comparative study of Kaamalaa types
| Kaamalaa (General) | Bahupittaa | S`haakhaas`hrita | Kumbha Kaamalaa | Haleemaka | |
| Rogamaarga | AabhyantaraBaahya | AabhyantaraBaahya | Baahya | ||
| Vyaadhi_class | Raktapradoshaja | Raktapradoshaja | |||
| Svabhaava | Daarun`a | Daarun`a | Mahaavyaadhi | ||
| Avayava | Tvak | Tvak | |||
| Saadhyatva | Krichchhra Saashya | ||||
| Dosha | Pitta Prakopa | Pitta Prakopa | Vaata Pitta Prakopa | ||
| Dosha Gun`a | Khara | ||||
| Dhaatu | Rakta DahanaMaamsa Dahana | Rakta DahanaMaamsa Dahana | |||
| Mala | Pureesha MootraRakta Peeta | Pureesha – MootraRakta Peeta | Pureesha Mootra Krishn`a Peeta | ||
| Indriya | Indriya HatatvaIndriya Durbalatva | Indriya Hatatva | |||
| Agni | Agni Nasht`a | Agni Bhrams`ha Agnimaandya |
Last updated on March 26th, 2021 at 10:47 am